- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,871.70 / $44,454.70 / $78,284.80
| Facility | | $27,871.70 | $44,454.70 | $78,284.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,572.00 / $38,351.98 / $56,043.61
| Facility | | $18,572.00 | $38,351.98 | $56,043.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,771.89 / $34,565.92 / $57,906.00
| Facility | | $25,771.89 | $34,565.92 | $57,906.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,803.89 / $31,011.75 / $37,321.94
| Facility | | $20,803.89 | $31,011.75 | $37,321.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,797.37 / $34,951.65 / $52,176.83
| Facility | | $10,797.37 | $34,951.65 | $52,176.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,364.47 / $37,316.50 / $50,761.80
| Facility | | $26,364.47 | $37,316.50 | $50,761.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,844.77 / $72,536.39
| Facility | | $3,775.00 | $27,844.77 | $72,536.39 |